Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

If you are pregnant or may be pregnant.

If you are breast-feeding.

If you have not stopped your period.

Precautions

If you have kidney disease, talk with your doctor.

If you have liver disease, talk with your doctor.

If you have soft, brittle bones (osteoporosis), talk with your doctor.

Have a bone density test. Talk with your doctor.

Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.

Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.

If you are taking this drug and have high blood pressure, talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids.

Side Effects

Low mood (depression).

Headache.

Nervous and excitable.

Flushing. Wearing layers of clothes or summer clothes and staying in cool places may help.

The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.